Customer Feedback and Complaint Form - Power Plate
Customer Feedback and Complaint Form - Power Plate
Customer Feedback and Complaint Form - Power Plate
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<strong>Customer</strong> <strong>Feedback</strong> <strong>and</strong> <strong>Complaint</strong> <strong>Form</strong><br />
1. <strong>Customer</strong> details<br />
Title (Mr/Ms etc) Family name (surname)<br />
Given names<br />
Business Name (if applicable)<br />
Street Address<br />
Suburb Postcode Country<br />
Home telephone Business telephone number Mobile telephone number<br />
Email address (if applicable)<br />
2. Details of goods supplied to the customer<br />
Date of purchase<br />
Place of purchase<br />
Model information:<br />
Serial number (this is located on the rear of the machine, above the power inlet):<br />
Please list/describe products involved<br />
Rev 2 - 22/Jun/09 <strong>Customer</strong> <strong>Feedback</strong> <strong>and</strong> <strong>Complaint</strong> <strong>Form</strong> Page 1 of 2
3. <strong>Feedback</strong>/<strong>Complaint</strong><br />
Please provide details in relation to the feedback/complaint (be as specific as possible)<br />
Rev 2 - 22/Jun/09 <strong>Customer</strong> <strong>Feedback</strong> <strong>and</strong> <strong>Complaint</strong> <strong>Form</strong> Page 2 of 2
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